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It consists of 19 items that evaluate three dimensions of suicide ideation: active suicidal desire, specific plans for suicide, and passive suicidal desire.
Individuals who endorse active or passive suicidal ideation are evaluated using the Suicide Risk Assessment 35 to determine the suicide risk level and an appropriate course of action.
An additional aim was to determine the prevalence of passive suicidal ideation (i.e., death ideation) and active suicidal ideation among culturally diverse LGBQ individuals.
We used weighted marginal structural Cox models to estimate the effect of initiating efavirenz-containing ART, versus efavirenz-free ART, on the hazard of active or passive suicidal thoughts after ART initiation, accounting for confounding by channeling bias.
The internal consistencies (Cronbach's α) of the originally reported [ 11] three dimensions were "active suicidal desire" α = 0.92, "preparation" α = 0.69, "passive suicidal desire" α = 0.79.
The second factor ("passive suicidal desire") included theoretically coherent items, two of which were identical to Beck's original factor of similar content.
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Suicidal thoughts thus represent one stage of a continuum that begins with low mood, progresses towards passive death wishes, suicidal thoughts and finally suicidal actions [ 1- 3].
However, having a history of suicide attempts, but without showing any signs of current passive or active suicidal ideation, is not scored.
On evaluation, Ms. A endorsed active depressive symptoms, including hypersomnia, intense feelings of sadness, weight loss, difficulty with decision-making, anhedonia, psychomotor retardation, anergia, and passive thoughts of death, without outright suicidal ideation.
Suicidal risk was coded as (i) no suicidal thoughts or plans, (ii) passive death wishes or suicidal thoughts without concrete plans, (iii) concrete suicidal plans or self-injury but no death intention, and (iv) self-injury and death intention.
The self-report questionnaire comprises 21 groups of statements including a screening section that contains five items specifically designed to identify suicidal ideation in active or passive form.
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